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[Base tongue actinomycosis].

M T Lahoz Zamarro1, M Laguía Pérez, J A Muniesa Soriano

  • 1Servicio de ORL, Hospital Obispo Polanco, Teruel.

Acta Otorrinolaringologica Espanola
|June 18, 2005
PubMed
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Actinomycosis, a rare tongue base infection caused by Actinomyces israelii, was treated successfully with surgery and antibiotics. Recurrence five years later required further intervention, prompting discussion on potential causes.

Area of Science:

  • Infectious Diseases
  • Bacteriology
  • Surgical Pathology

Background:

  • Actinomycosis is a chronic bacterial infection caused by Actinomyces israelii.
  • Tongue base actinomycosis is rare, accounting for only 3% of cases.
  • This condition can present as a mass causing dysphagia.

Observation:

  • A case of actinomycosis involving the epiglottis, vallecula, and tongue base presented with dysphagia.
  • Diagnosis was confirmed via histological examination of a tissue biopsy.
  • Initial treatment involved surgical incision and drainage, followed by oral amoxicillin.

Findings:

  • The patient achieved complete resolution after initial treatment.
  • A recurrence of tongue base actinomycosis occurred five years later.

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  • The recurrence necessitated a second surgical procedure and a prolonged course of penicillin therapy.

    • Implications:

    • This case highlights the importance of considering actinomycosis in the differential diagnosis of tongue base masses presenting with dysphagia.
    • Recurrence of actinomycosis, though uncommon, can occur and requires persistent management.
    • Understanding potential recurrence factors is crucial for optimizing long-term patient outcomes.